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目的探讨对行同期双侧人工全膝关节置换术患者采用围手术期护理干预的临床效果。方法选取36例全膝关节炎患者作为研究对象,所有患者均行同期双侧人工全膝关节置换术,回顾性分析患者的临床症状以及活动功能的恢复情况,并以此为基础提供围手术期护理干预。结果接受关节置换术的36例患者均于术后6~12个月进行随访观察,满意36例,满意度为100%。关节置换术后,通过行围手术期护理干预,肢体活动评分由置换前的(31.5±2.4)分提高到(79.3±3.6)分,差异有统计学意义(P<0.05)。置换术后行围术期护理,患者并未出现下肢深静脉血栓、假体松动以及切口感染等不良反应。结论对全膝性关节炎患者行同期双侧人工全膝关节置换术和围手术期护理干预,能够在一定程度上缩短患者的住院时间,加快患者的恢复速度,具有一定的有效性和安全性,进一步减轻对患者造成心理和生理方面的负面影响。
Objective To investigate the clinical effect of perioperative nursing intervention in patients with bilateral total knee replacement. Methods Totally 36 patients with total knee arthroplasty were enrolled in this study. All patients underwent bilateral total knee arthroplasty during the same period. The clinical symptoms and the recovery of motor function were retrospectively analyzed. Based on this, Nursing intervention. Results All the 36 patients who underwent arthroplasty were followed up 6 to 12 months after operation. Satisfactory results were obtained in 36 cases with 100% satisfaction. After arthroplasty, the score of limb activity increased from (31.5 ± 2.4) points to (79.3 ± 3.6) points before perioperative change by perioperative nursing intervention, the difference was statistically significant (P <0.05). Perioperative care after replacement surgery, the patient did not appear deep venous thrombosis, prosthesis loosening and incision infection and other adverse reactions. Conclusions The simultaneous bilateral total knee arthroplasty and perioperative nursing intervention in patients with total knee arthritis can reduce the length of hospital stay and speed up the recovery of patients with a certain degree of effectiveness and safety , Further reducing the psychological and physical negative impact on patients.